MEDICARE: GARDENIA HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	251B00000X	Case Management Agency
4	291U00000X	Clinical Medical Laboratory
5	3245S0500X	Children's Substance Abuse Rehabilitation Facility
6	324500000X	Substance Abuse Rehabilitation Facility
7	251C00000X	Developmentally Disabled Services Day Training Agency
8	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IHCP-1631	OTHER	SC	DHEC

General Provider Information

NPI Number	:	1821749185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDENIA HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	698 BULTMAN DR UNIT Q
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-2549
Country	:	US
Telephone Number	:	803-883-4005
Fax Number	:	803-757-1068

Provider Business Practice Location Address
First Line	:	698 BULTMAN DR UNIT Q
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-2549
Country	:	US
Telephone Number	:	803-883-4005
Fax Number	:	803-757-1068

Authorized Official
Title or Position	:	OWNER
Name	:	DARNITA GENERETTE
Credential	:
Telephone Number	:	704-220-7251

Provider Enumeration Date	:	01/18/2022
Last Update Date	:	02/06/2026

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Directions to “GARDENIA HOME CARE SERVICES ” Practice Location

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